{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:10:24Z","timestamp":1792174224147,"version":"4.4.0"},"reference-count":20,"publisher":"The Korean Society of Gastrointestinal Endoscopy","issue":"4","license":[{"start":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T00:00:00Z","timestamp":1706227200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["e-ce.org"],"crossmark-restriction":true},"short-container-title":["Clin Endosc"],"published-print":{"date-parts":[[2024,7,30]]},"abstract":"<jats:p>Background\/Aims: In March 2022, the Association for the Advancement of Medical Instrumentation (AAMI) released the American National Standards Institute (ANSI)\/AAMI ST91:2021, their latest update on comprehensive, flexible, and semirigid endoscope reprocessing. These updated standards recommend the sterilization of high-risk endoscopes when possible and provide new recommendations for the precleaning, leak testing, manual cleaning, visual inspection, automated reprocessing, drying, storage, and transport of endoscopes.Methods: ANSI\/AAMI ST91:2021 was compared with ANSI\/AAMI ST91:2015 for major reprocessing differences that result in either time and\/or cost increases. Time estimates were captured by explicit recommendation inclusion or taken from the literature. All the costs were estimated using publicly available resources.Results: The updated standards represent a potential 24.3-minute and 52.35 to 67.57 United States dollars increase per procedure in terms of reprocessing time and spending, respectively, not including capital investments. Capital costs per procedure were highly dependent on the procedure volume of the facility.Conclusions: The new AAMI standards recommend several major changes, such as sterilization, for facilities to reprocess and manage endoscopes between uses. As more facilities increase their reprocessing methods to reflect the updated standards, they do so at a cost and introduce several delays. As the reprocessing landscape evolves, facilities should consider their true costs and alternative solutions, such as single-use endoscopes.<\/jats:p>","DOI":"10.5946\/ce.2023.164","type":"journal-article","created":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T04:12:45Z","timestamp":1706242365000},"page":"534-541","update-policy":"https:\/\/doi.org\/10.5946\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Costs involved in compliance with new endoscope reprocessing guidelines"],"prefix":"10.5946","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8717-6019","authenticated-orcid":true,"given":"David","family":"Hoffman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0086-3474","authenticated-orcid":true,"given":"Christina","family":"Cool","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3961","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.1997.7.369"},{"key":"ref2","volume-title":"MAUDE: Manufacturer and User Facility Device Experience [Internet]","year":"2022"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.07.504"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14891"},{"key":"ref5","volume-title":""},{"key":"ref6","volume-title":"Factors affecting quality of reprocessing [Internet]","year":"2018"},{"key":"ref7","volume-title":"Flexible bronchoscopes and updated recommendations for reprocessing: FDA safety communication [Internet]","year":"2021"},{"key":"ref8","volume-title":"Update: change in reprocessing methods with certain Karl Storz urological endoscopes-letter to health care providers [Internet]","year":"2022"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1055\/a-1515-2591"},{"key":"ref10","volume-title":"ANSI\/AAMI ST91:2021; Flexible and semi-rigid endoscope processing in health care facilities [Internet]","year":"2022"},{"key":"ref11","volume-title":"Occupational employment and wages, 31-9093 medical equipment preparers [Internet]","year":"2021"},{"key":"ref12","volume-title":""},{"key":"ref13","volume-title":"A glimpse at the true cost of reprocessing endoscopes [Internet]","author":"Ofstead","year":"2017"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2021.01.021"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2022.06.022"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100451"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2022.08.026"},{"key":"ref18","volume-title":"MAUDE adverse event report: Olympus Medical Systems Corp. bronchoscope unknown. Report Number 2951238-2022-00340 [Internet]","year":"2022"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s41669-022-00356-0"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.tige.2021.09.007"}],"container-title":["Clinical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-ce.org\/upload\/pdf\/ce-2023-164.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-ce.org\/journal\/view.php?doi=10.5946\/ce.2023.164","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-ce.org\/upload\/pdf\/ce-2023-164.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T01:16:08Z","timestamp":1722215768000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-ce.org\/journal\/view.php?doi=10.5946\/ce.2023.164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,30]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"URL":"https:\/\/doi.org\/10.5946\/ce.2023.164","relation":{},"ISSN":["2234-2400","2234-2443"],"issn-type":[{"value":"2234-2400","type":"print"},{"value":"2234-2443","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,30]]},"assertion":[{"value":"2023-06-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-26","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}